From care to prevention: which quality policy fits?
- PDF / 72,303 Bytes
- 1 Pages / 595.275 x 841.89 pts (A4) Page_size
- 30 Downloads / 218 Views
pertise in de wijk. Dit geschiedt nog veel te weinig. Financiering, kwaliteitssystemen en landelijke adviezen ten spijt, als men niet een goede sociale infrastructuur van professionals in de wijk heeft zullen weinig gemeenschappelijke leefstijl- en ondersteuningsprogramma’s (noodzakelijk voor de nieuwe epidemiologie van chronische aandoeningen en multimorbiditeit) succesvol zijn. Adviezen en kwaliteitssystemen moeten gericht zijn op het terugbrengen van de samenwerking van zorg, welzijn en ondersteuning voor individuen en groepen in de wijk op de hoek van de straat. Daar hebben we vooral kwaliteiten als goed ingeburgerd in het sociale netwerk en bereidheid om met anderen samen te werken voor nodig, inclusief het hele vrijwilligerspotentieel en de mantelzorg. De professioneel inhoudelijke kwaliteit is in Nederland reeds uitstekend. Het advies van de NPHF mag hier van mij meer op in gaan. Het Jan van Es Instituut pakt zeker deze handschoen op.
Literatuur 1. WHO. The World Health Report 2008. Primary care more than ever. Geneva: World Health Organisation, 2008.
Correspondentieadres Marc Bruijnzeels, e-mail: [email protected]
Abstract
From care to prevention: which quality policy fits? The Netherlands Public Health Federation (NPHF) has published an advice on the national policy on the quality of preventive care. This advice was requested by the Dutch Council for the Quality of Healthcare. The council noticed that this national policy lacked a well-developed agenda for prevention, i.e., the public health. Since public health and medicine are increasingly becoming interrelated, the Council wondered what future agenda would be warranted. The basic idea underpinning the advice is that sustainable health systems in the 21st century need to shift their downstream focus a more upstream one. The current Dutch health system functions as a reactive disease or sickness system rather than a proactive health system. The key question addressed in the advice is how national quality of care policy could initiate, facilitate and steer this shift. The NPHF suggests to broadly conceptualize public
health as a mindset, rather than a structure, sector or institution as is now often the case. The concept of sustainability alike, everybody involved in health provision could adapt such a mindset allowing him or her to proactively think and act in terms of optimizing the health of patients and populations. National quality of care policy could be developed that initiates, facilitates and eventually steers the incorporation of this mindset in the professionalization of all health occupations. This would imply that prevention is built in all professional led quality instruments, e.g., professional domain descriptions, guidelines, certification, revalidation etc. Critical reflections of key stakeholders learn that the NPHF vision is well received and supported. The hardest challenge is to realize the vision in practice. Keywords: quality of care, prevention, public health, integration
tsg jaargang 90 / 2012 nummer 6 spectrum - pagina 337
Data Loading...
